NAME:
_________________________________________________________________
(last) (first) (middle initial)
ADDRESS: _____________________________________________________________
______________________________________________________________
(city) (state) (zip code)
Email address: ________________________ Pager address: _______________________
Which date(s) will you be available for volunteer service? Check
July 17
at daytime ________ evening ________
July 18 at daytime ________ evening ________
July 19 at daytime ________ evening ________
July 20 at daytime ________ evening ________
July 21 at daytime ________ evening ________
July 22 at daytime ________ evening ________
July 23 at daytime ________ evening ________
Which group(s) are you interested in? Check one or more
| ___ Registration |
| ___ Meeting |
| ___ Entertainment |
| ___ Banquet |
| ___ Workshop |
| ___ Exhibit |
| ___ Safety/Security |
| ___ Room/Door Monitor |
| ___ Safety/Security |
| ___ Interpreter Services (must fill out interpreter form also) |
| ___ SSP (Special Service Provider for deaf-blind) |
| ___ Gofer Personal (Do odd and end whenever requested by the person in charge) |
| ___ Decoration/setup committee |
Deadline: June 1, 2005
You will receive confirmation and notification of schedule.
PLEASE FILL OUT AND MAIL TO:
CMRA/RAD2005 HOST COMMITTEE
Attn: Volunteer Service
P.O. Box 44656
Washington, DC 20026-4656
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Please direct
any comments/questions about this site to Webmaster
Revised: March 28, 2005 |
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